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Organization

MAYO FAMILY HEALTHCARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BILLIESUE MAYO NP (OWNER/NP)
(208) 318-1619
Entity
Organization

Contact information

Practice address
5826 E FRANKLIN RD, NAMPA, ID 83687-5020
(208) 318-1619
(208) 318-1612
Mailing address
5826 E FRANKLIN RD, NAMPA, ID 83687-5020
(208) 318-1619
(208) 318-1612

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396245742
ID
05
1770129322
ID
Enumeration date
11/19/2019
Last updated
10/31/2025
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